| Entity Name: | JACKSONVILLE NEUROLOGICAL CLINIC, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
JACKSONVILLE NEUROLOGICAL CLINIC, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 06 Jun 1973 (52 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | 604401 |
| FEI/EIN Number |
591462679
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1895 KINGSLEY AVE, SUITE 805, ORANGE PARK, FL, 32073 |
| Mail Address: | 1895 KINGSLEY AVE, SUITE 805, ORANGE PARK, FL, 32073 |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710934930 | 2006-05-31 | 2007-11-20 | PO BOX 17809, JACKSONVILLE, FL, 322457809, US | 1895 KINGSLEY AVE STE 805, ORANGE PARK, FL, 320734410, US | |||||||||||||||||||||||||||||||
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| Phone | +1 904-723-0015 |
| Fax | 9043380951 |
| Phone | +1 904-276-2220 |
| Fax | 9042762578 |
Authorized person
| Name | DENNIS DEWEY |
| Role | PRESIDENT |
| Phone | 9042762220 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | CF1455 |
| State | FL |
| Issuer | BCBS |
| Number | 00506 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DEWEY DENNIS D | President | 1895 KINGSLEY AVENUE, # 805, ORANGE PARK, FL, 32073 |
| DEWEY DENNIS D | Treasurer | 1895 KINGSLEY AVENUE, # 805, ORANGE PARK, FL, 32073 |
| MAQUERA VICTOR A | Vice President | 1895 KINGSLEY AVENUE, # 903, ORANGE PARK, FL, 32073 |
| MAQUERA VICTOR A | Secretary | 1895 KINGSLEY AVENUE, # 903, ORANGE PARK, FL, 32073 |
| DEWEY DENNIS D | Agent | 1895 KINGLSEY AVE, ORANGE PARK, FL, 32073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| NAME CHANGE AMENDMENT | 2007-08-21 | JACKSONVILLE NEUROLOGICAL CLINIC, P.A. | - |
| CHANGE OF PRINCIPAL ADDRESS | 2006-02-13 | 1895 KINGSLEY AVE, SUITE 805, ORANGE PARK, FL 32073 | - |
| CHANGE OF MAILING ADDRESS | 2006-02-13 | 1895 KINGSLEY AVE, SUITE 805, ORANGE PARK, FL 32073 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2006-02-13 | 1895 KINGLSEY AVE, SUITE 805, ORANGE PARK, FL 32073 | - |
| REGISTERED AGENT NAME CHANGED | 2005-04-11 | DEWEY, DENNIS D | - |
| NAME CHANGE AMENDMENT | 1990-02-12 | JACKSONVILLE NEUROLOGICAL CLINIC, P.A., DAVID F. SCALES, M.D., WILLIAM H. NORAN, M.D. AND DENNIS D. DEWEY, M.D. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-01-11 |
| ANNUAL REPORT | 2009-01-06 |
| ANNUAL REPORT | 2008-01-11 |
| Name Change | 2007-08-21 |
| ANNUAL REPORT | 2007-01-05 |
| ANNUAL REPORT | 2006-02-13 |
| ANNUAL REPORT | 2005-04-11 |
| ANNUAL REPORT | 2004-03-11 |
| ANNUAL REPORT | 2003-04-07 |
| ANNUAL REPORT | 2002-03-31 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
